. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. nerve lies at the back ofthe cord, near the vas (Figs. 93 and 101). By infiltrating the cordfreely in this position the nerve is reached; it is not necessary to directly GENITO-URINARY, ANORECTAL, AND GYNECOLOGIC OPERATIONS 375 expose it. In making an injection here care should be taken not toenter any of the large veins which may be found in this region.
. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. nerve lies at the back ofthe cord, near the vas (Figs. 93 and 101). By infiltrating the cordfreely in this position the nerve is reached; it is not necessary to directly GENITO-URINARY, ANORECTAL, AND GYNECOLOGIC OPERATIONS 375 expose it. In making an injection here care should be taken not toenter any of the large veins which may be found in this region. Makethe injection only when advancing or withdrawing the needle, notwhen the needle is stationary, unless the parts are plainly in view. The following case, operated on by Prof. Matas, illustrates thepossibilities here: An adult negro laborer was admitted in my service in the Charity Hospital two yearsago for the removal of an immense scrotal tumor, which extended from the pubes to theknee. After making a linear infiltration, 13 inches in length, in the vertical axis of thetumor, we reached a, hernial sac which contained the cecum and a long appendix vermi-formis. The hernial region was anesthetized. The appendix was removed, the sac. Fig. 100.—Method of injecting posterior surface of scrotum. (From Braun.) excised, and the hernial canal closed by a Bassini operation. The dissection was thencontinued, and two enormous polycystic masses (originally hydroceles of the cord andtunica vaginalis), containing over 3 pints of fluid, were tapped and excised with the testis,which was incorporated in their walls. The patient never complained during this long andtedious procedure, and enjoyed a hearty meal shortly after returning to the ward. Hemade a perfectly uneventful recovery. Operations Upon the Scrotal Contents.— Varicocele, hydrocele,castration, etc., can all be done following a uniform method of anes-thesia. For typical operations this is as follows: The skin on theanterior su
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914
